Benjamin Fuller, ATC
NPI #1407400799 in Azusa, California
Provider Information
- NPI Number
- 1407400799
- Entity Type
- Individual
- Name
- Benjamin Fuller, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Jul 25, 2019
- Last Updated
- Jul 25, 2019
Practice Location
- Address
- 701 E FOOTHILL BLVD
- City
- Azusa
- State
- California
- ZIP Code
- 91702-2606
- Phone
- (626) 815-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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